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Screening ECG, 12 Leads, Tracing Only

Michigan rates for HCPCS G0404

Electrocardiogram, routine ECG with 12 leads; tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination

Rates data updated October 2026.

How much does Screening ECG, 12 Leads, Tracing Only cost?

$10.47

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $10.47 for this service. The price depends on where it is billed: about $10.47 from a physician practice, and about $25.70 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$10.47$8.13 to $10.96
FacilityA hospital or hospital-owned outpatient department$25.70$10.96 to $30.90

How much rates vary

Facilitymedian $26 · 10th to 90th $8 to $47Professionalmedian $10 · 10th to 90th $8 to $13
$10$20$50facility $26professional $10

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$7.59
Median
$7.59
Typical High
$7.94
Aetna
Setting
Professional
Modifier
None
Typical Low
$7.59
Median
$8.13
Typical High
$8.13
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$10.23
Median
$10.96
Typical High
$10.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$6.46
Median
$6.46
Typical High
$10.23
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$11.22
Median
$25.70
Typical High
$30.90
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$7.94
Median
$10.47
Typical High
$13.80
Priority Health
Setting
Professional
Modifier
None
Typical Low
$6.46
Median
$6.46
Typical High
$10.23
United
Setting
Facility
Modifier
None
Typical Low
$29.51
Median
$38.90
Typical High
$81.28
United
Setting
Professional
Modifier
None
Typical Low
$8.71
Median
$10.23
Typical High
$14.79

Where Michigan sits

The same service costs 3.2 times more in Massachusetts than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Michigan· 18th of 51

$10.47

MA $15.49NY $4.79

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.